Organization Active NPI

Tina Fu, DDS, PLLC

  • Public Health Dentistry
  • Lynden, WA
National Provider Identifier
1063170751
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
TINA FU, DDS, PLLC
Doing business as
Lynden Smiles- Family & Cosmetic Dentistry
Practice address
8082 Guide Meridian Rd Ste 102
Lynden, WA 98264-9239
Phone
(360) 318-1400
NPI assigned
Nov 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Xing Fu, DDSNPI 1316467830
Title
Owner
Phone
(206) 271-7262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

8082 Guide Meridian Rd Ste 102
Lynden, WA 98264-9239

Mailing address

8082 Guide Meridian Rd Ste 102
Lynden, WA 98264-9239
Phone (360) 318-1400

Other names 1

  • Lynden Smiles- Family & Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

8082 Guide Meridian Rd
Ste 102
Lynden, WA 98264
Phone (360) 318-1400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1063170751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8082 GUIDE MERIDIAN RD STE 102",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982649239",
            "telephone_number": "360-318-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8082 GUIDE MERIDIAN RD STE 102",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982649239",
            "telephone_number": "360-318-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA FU, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "FU",
        "authorized_official_first_name": "XING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-271-7262",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynden Smiles- Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynden, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.